Mariselle is a 42-year-old woman that visits your clinic for a routine appointment. Two years ago,...

Mariselle is a 42-year-old woman that visits your clinic for a routine appointment. Two years ago, she was diagnosed with early stage (3a) chronic kidney disease associated with hypertension. Her kidney disease and hypertension are managed by a combination of drugs that includes an ACE inhibitor, and dietary restriction. Mariselle is complaining of ‘the heads of mine’ that she says make her feel poorly, and a discomfort in her back and abdomen She reports eating fast food for the last two weeks because she was too tired to cook at home.

Medical History

Her notes show that a previous doctor has prescribed Mariselle benzodiazepines for nervous complaints. You have treated her mother in the past for depression.

On examination

Mariselle describes her symptoms in a flat, monotonous voice and looks anxious and ill at ease. You find that she uses vague phrases such as ‘these heads of mine’ without properly describing them. During the consultation, she attributes her symptoms to her chronic kidney disease. Further exploration reveals that Mariselle is describing headaches which she attributes to her kidney problems.

Questions:

Identify both the diagnosis and the prognosis of your patient, and explain the difference between these two

Expert Solution

Diagnosis of Mariselle

She is having diagnosis of chronic kiney disease associated with hypertension

She developed this condition as a result of hyper tension .

Diagnosis is the identification of a specific disease condition and the identified disease condition of Mariselle is chronic kidney disease associated with hypertension

Prognosis

It is a term used for describing the risk for developing a specific disease in the future or the condition that is whether the current disease is improving or worsening

In case of Mariselle

As in this specific case she was diagnosed with kiney injur 2 years ago and in the current consulting no further complications are noted excep a headache .she was maintaining diet and mediation and prognosis was better but since 2 weeks she was continuously on fast food which is against her dietary restrictions so her prognosis will worsen and kidney failure might move to next stage

Sydney Mullin answered 1 year ago

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